Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey Martin

Individual provider Physician Assistant · NPI 1023861192

Corey Martin is a Physician Assistant in Creve Coeur, Missouri. Graduated from Mississippi Medical College in 2023, 3 years ago. Practices with Ortho Missouri LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Trained at
Mississippi Medical College
Licensed in
MO
In the registry since
2024
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Practice location Address checks out

11330 Olive Blvd Ste 150
Creve Coeur, MO 63141-7149
Phone: (314) 336-2566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024011272 (MO)

Record details

NPI number1023861192
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMISSISSIPPI MEDICAL COLLEGE
Graduated 2023 (3 years in practice)
Group practice Ortho Missouri Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Creve Coeur